Tryout Registration

The following player registration must be completed prior to tryouts. The registration is split into three sections: Player Information, Medical Release, and Concussion Awareness.

Complete the entire form and submit to register for tryouts. Once we receive your registration you will receive specific tryout details.

BBC tryouts will be held on August 2nd in Bellevue, WA. Specific times and location will be e-mailed once we have your registration.

Bellevue Baseball Club operates teams for age groups between 13-18. A completed tryout registration form (below) is required for players to participate in tryouts. To assure the best possible tryout, we ask that every player complete the tryout form below as early as possible.

Participation Conflicts

Our winter training program is crucial to spring success of our teams. We understand “in-season” sports take priority, but expect full participation during winter workouts.

Contact Information

Primary Contact Email*

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Primary Contact Phone*

Address*

Street AddressCityZIP Code

Father's Name*

FirstLast

Mother's Name*

FirstLast

MEDICAL RELEASE SECTION

Physician Contact Information

Physician Name*

FirstLast

Physician Phone*

Emergency Contact Information

Emergency Contact Name*

FirstLast

Emergency Contact Phone*

Insurance Information

Accident Insurance: I waive and release Bellevue Baseball Club (“BBC”) from all liability from any injury or sickness while trying out and playing for BBC’s baseball team and all BBC programs/activities. I hereby give my permission for emergency medical treatment in the event I cannot be reached. All participants must provide proof of insurance coverage for any injury or sickness while playing or trying out for BBC’s baseball team.

Insurance Provider*

Policy Number*

Release of Liability: I authorize BBC and it’s officers and contractors to act for me in an emergency requiring medical attention. I understand I am responsible for all hospital, laboratory, dental, and doctor’s fees. I affirm that my child is physically fit to participate in vigorous physical activity. I further understand that BBC and its associates will not be held responsible for accidents or illnesses.

I hereby give my permission for my child to participate on the Bellevue Baseball Club team and all BBC program/activities. I represent that my child is physically able to participate and I further acknowledge that there are certain risks of injury inherent in the participation of any sport and that such an injury may occur. I hereby release and discharge Gregg Bennett, John W Stanton, Jordan Nilsen, Ben Johnson, and Tim Stanton as officers and directors of BBC and any of BBC’s contractors from any and all liability, claims, demands, causes of action, of any sort arising from any injury sustained by my child consequent of his participation on BBC baseball teams and all BBC programs/activities.

CONCUSSION AWARENESS SECTION

A concussion is a brain injury and all brain injuries are serious. They are caused by a bump, blow, or jolt to the head, or by a blow to another part of the body with the force transmitted to the head. They can range from mild to severe and can disrupt the way the brain normally works. Even though most concussions are mild, all concussions are potentially serious and may result in complications including prolonged brain damage and death if not recognized and managed properly. In other words, even a “ding” or a bump on the head can be serious. You can’t see a concussion and most sports concussions occur without loss of consciousness. Signs and symptoms of concussion may show up right after the injury or can take hours or days to fully appear. If your child reports any symptoms of concussion, or if you notice the symptoms or signs of concussion yourself, seek medical attention right away.

Any athlete even suspected of suffering a concussion should be removed from the game or practice immediately. No athlete may return to activity after an apparent head injury or concussion, regardless of how mild it seems or how quickly symptoms clear, without medical clearance. Close observation of the athlete should continue for several hours. The new “Zackery Lystedt Law” in Washington now requires the consistent and uniform implementation of long and well-established return to play concussion guidelines that have been recommended for several years.

“a youth athlete who is suspected of sustaining a concussion or head injury in a practice or game shall be removed from competition at that time”

and

“… may not return to play until the athlete is evaluated by a licensed health care provider trained in the evaluation and management of concussion and received written clearance to return to play from that health care provider.”

For current and up-to-date information on concussions you can go to: http://www.cdc.gov/concussioninyouthsports/

Parent Acknowledgement

Parent Name*

FirstLast

Today's Date*

By submitting this form I acknowledge I have read this document and I understand its content.